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NOTICE OF INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE T4XWVJ9JON-F11-7- OF OF DEDUCTIONS AND ASSESSMENT OF TAX W_a' REV-1547 EX AFP (11-14)
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DATE 05-18-2015
?015 FIM 20 Rn 10 S8 ESTATE OF HOMCHECK CECELIA D
DATE OF DEATH 04-12-2014
FILE NUMBER 21 14-0376
MICHAEL L COUNTY CUMBERLAND
101
18TH ST ACN APPEAL DATE: 07-17-2015
CAMP HILL PA 17011-5902 (See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS .
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +-
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REV-1547 EX AFP C11-14� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOMCHECK CECELIA DFILE NO. :21 14-0376 ACN: 101 DATE: 05-18-2015
TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 196,068.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
.00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 29,914.62
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 115,574.83
8. Total Assets 341 ,557.45
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 11 ,770. 12
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 3,896.33
11. Total Deductions (11) 15,666.45
12. Not Value of Tax Return (12) 325,891.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 325,891.00
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (is) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 32!i,891 -on X 045 = 14,665.10
17. Amount of Line 14 at sibling rate (17) nn x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 = .00
19. Principal Tax Due (19)= 14,665. 10
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-10-2014 CDO19415 526.32 10,000.00
01-08-2015 CD020110 .00 4,138.78
TOTAL TAX PAYMENT 14,665.10
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.